HomeMy WebLinkAbout720 S Cedar St - Building �1 %wF CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000171 Date 2/28/11
Application pin number 582375
Property Address 720 S CEDAR ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 3790 -0000- On your state excise tax form
Application type description PUBLIC WORKS UTILITES
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 0
Application desc
RCP #11 -04 Scaffolding on sidewalk
Owner Contractor
ROSE ANDREW J OWNER
131 W 2ND ST
PORT ANGELES WA 983622622
Permit RIGHT OF WAY
Additional desc RCP 11 -04 SCAFFOLDING
Permit pin number 181818
Permit Fee 75.00 Plan Check Fee .00
Issue Date 2/28/11 Valuation 0
Expiration Date 4/26/11
Qty Unit Charge Per Extension
1.00 75.0000 ECH RIGHT OF WAY PERMIT 75.00 Q v
Special Notes and Comments
Maintain a 4 foot minimum clear space on sidwalk for
pedestrain travel. Sidewalk to be closed if 4 foot minimum
cannot be maintained. Applicant responsible for providing
any necessary signs. Applicant responsible for any damage to
the existing sidewalk.
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any st e or local law regulating co struction or the performance of
construction.
2 /201
Signature of Contractor or Authorized Agent Date ignature of Owner (if o ner is builder) Date
T:Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES '(Engineering Division)
WATERLINE METER
SEWER CONNECTION I
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SID
CURB R GUTTER
DRIVEWAY APPROACH
BACK FLOW DEVICE'."
:5 i �,v f, t4
PECTIONS.REQUIRED PRIOR OCCUPANCY /USE
FINAL INS
h= 4
RESIDENTIAL DATE YE S NO x COMMERCIAL DATE ACCEPTED
,.:a YES NO
CONST RUCTION R W P,W/ CONSTRUCTION,- Rf.W
ENGINEERING;:, t 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT..
PLANNING DEPT. 417- 4750. PLANNING DEPT.
BUILDING; 41 ,BUILDING
4815
T Forms(Buildmg Dtvisyon/PubLc Works Perrrut i „y
.
.
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. -Y;/F
0~3h3
/ I
DATE
ELECTRICAL PERMIT
slle Address:
I
I n'stalled By:
Sq. Ft.
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
o
Owner/Business:
I
Owner/Business Address:
I
I
I' RESIDENTIAL
COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW _
D I HEAT PUMP KW_
01 SIGN
I
D~tailslDescription :
I
I
Phone:
b" OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASE 6
SERVICS-SjZE 0 AMPS
--r--t:Cc/ ce,
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
60 ~
(.1..1 ,.k
-n,~
- tcf De
.-k ~~~L
I
I
I
I
i
I
W.S. No.
I
CAPACITY:
I D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
I D INSTALL SERVICE POLE
I
ENGR.
SERVICE SIZE
DATE
o CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
~ Rough-in/cover O.K.
D O.K. to connect service
-1;r"'rp Final O.K.
.
~
&~
site Address:
19-0
lristaller:
I
N~tify Port An es C y Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or 'ion the Building Permit. PHONE 457-0411, EXT. 224. c90
'I~ _ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ":?r? ____
I Electrical Inspector Permit Fee
W11TE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall
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New Meters
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